Republic of Uganda
National Population and Housing Census 2014
HOUSEHOLD QUESTIONNAIRE
BOOK NUMBER
IDENTIFICATION PARTICULARS
WRITE NAME IN CAPITAL LETTERS
CODE
DISTRICT:
COUNTY/MUNICIPALITY:
SUB COUNTY/DIVISION/TOWN COUNCIL:
PARISH/WARD:
LC1:
EA:
Code
ENUMERATOR'S NAME AND CODE:
ENUMERATOR'S SIGNATURE:
DATE: (dd/mm/yyyy):
/
/
/
/
PARISH SUPERVISOR'S NAME AND CODE:
PARISH SUPERVISOR'S SIGNATURE:
DATE: (dd/mm/yyyy):
A
UGANDA BUREAU OF STATISTICS, P.O. Box 7186, Kampala, UGANDA. Tel: +256-414-706000. Fax: +256-414-237553. Email: [email protected] Website: www.ubos.org
Result Code (R1)
1 Completed
2 Partially Completed
3 Not Interviewed
Hello, my name
is
..............................
and I work with
Uganda Bureau
of Statistics
(UBOS). We are
conducting the
National
Population and
Housing Census
2014. We are
visiting each
and every
household in the
country
collecting
information
about
individuals and
the homesteads
they live in. It
takes about 40
minutes to
complete the
interview.
Whatever
information you
provide will be
kept strictly
confidential. We
would very
much
appreciate your
participation
and cooperation in this
Census.
Relationship (P2 )
Usual head of hh - Absent
Usual head of hh - Present
Spouse
Biological Son
Biological Daughter
Step son
Step daughter
Grandson
Grand daughter
Parent to head or spouse
Brother or Sister to head or
spouse
21 Other relative
22 Non relative
10
11
12
13
14
15
16
17
18
19
20
511
512
513
514
515
516
517
518
519
520
521
522
523
524
525
526
527
528
529
530
531
532
Residential Status (P4)
1
2
3
Usual household member
Regular household member
Visitor/Guest
Grade Completed (P19 )
01 Never been to school
02 Did not complete Pre-Primary
03 Completed Pre-Primary
04 In P1 but did not complete /
attend Pre-Primary
10 Did not complete P1
11 P1
12 P2
13 P3
14 P4
15 P5
16 P6
17 P7
21 J1-J3
31 S1
32 S2
33 S3
34 S4
35 S5
36 S6
41 Professional Certificate
42 Diploma
43 First Degree
44 Post Graduate Certificate
45 Post Graduate Diploma
46 Masters Degree
47 PhD
96 Other
97 NA
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
96
97
Acholi
Aliba
Alur
Aringa
Baamba
Babukusu
Babwisi
Bafumbira
Baganda
Bagisu
Bagungu
Bagwe
Bagwere
Bahehe
Bahororo
Bakenyi
Bakiga
Bakonzo
Banyabindi
Banyabutumbi
Banyankore
Banyara
533
534
535
536
537
538
539
540
541
542
543
544
545
546
547
548
549
550
551
552
553
554
Ethnicity (P8)
Banyaruguru 555 Kakwa
Banyarwanda 556 Karimojong
Banyole
557 Kebu (Okebu)
Banyoro
558 Kuku
Baruli
559 Kumam
Barundi
560 Lango
Basamia
561 Lendu
Basoga
562 Lugbara
Basongora
563 Madi
Batagwenda 564 Mening
Batoro
565 Mvuba
Batuku
566 Napore
Batwa
567 Ngikutio
Chope
568 Nubi
Dodoth
569 Nyangia
Ethur
570 Pokot
Gimara
571 Reli
Ik (Teuso)
572 Sabiny
Iteso
573 Shana
Jie
574 So (Tepeth)
Jonam
575 Vonoma
Jopadhola
576 Other Ugandan
Major Field of Specialization (P20)
Health Sciences
Life & Biological Sciences
Animal Sciences
Physical/Natural Sciences
Sport Sciences
Engineering
Social Sciences & History
Agriculture
Computer & Information Sciences
Arts
Food science
Business Studies
Mathematics
Economics
Demography and Population
Community and Development Studies
Languages & Literature
Education
Gender Studies
Psychology
Sociology
Special Needs Education
Peace and conflict studies
Law & Legal Studies
Visual & Performing Arts
Commerce
Procurement and Supply Mgt
Administration and Human Resource
Communication and Journalism
Philosophy & Religion
Architecture & Physical Planning
Home Economics
Library and Archives Sciences
Tourism and hospitality
Statistics
Ethic Studies
Other specify
NA
Country Of Citizenship For
Non-Ugandans
671
672
673
674
675
676
677
678
681
682
683
684
685
686
687
688
689
Kenya
Tanzania
Rwanda
Burundi
South Sudan
Dem. Rep. Of Congo
Somalia
Other Africa
United Kingdom
Other Europe
Asia
USA
Canada
Central & Latin America
Australia
Oceania
Non-Ugandan-Not
Stated
1
2
3
4
7
8
Type of Disability (P14-P17)
No - no difficulty
Yes – some difficulty
Yes – a lot of difficulty
Cannot do at all
Not Applicable
Don’t know
1
2
3
4
7
School Attendance P18 )
Attending school in 2014
Left school in 2014
Left school before 2014
Never been to school
NA
10
11
12
13
14
15
16
17
18
19
20
21
22
96
97
Working for pay
Employer
Own account worker
Helping without pay in hh business
Volunteer
An apprentice (not paid)
Looking for work
Not working and not looking for work
Household chores
Full time student
Retired/pensioner
Too old to work
To young to work
Other
NA
Activity Status (P22)
Marital Status (P26 )
1 Never married
2 Currently married/Cohabiting (Monogamous)
3 Currently married/Cohabiting (Polygamous)
4 Widowed
5 Separated
6 Divorced
7 NA
8 Don't Know
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
Religion (P9)
No Religion
Anglican
Catholic
Muslim
Seventh-Day Adventist
Orthodox
Pentecostal/ Born Again/ Evangelical
Baha’i
Baptist
Jews
Presbyterian
Mammon
Hindus
Buddhist
Jehovah’s Witness
Salvation Army
Traditional
Others
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
Subsistence Agricultural Workers
Agricultural, fishery and related labourers
Subsistence animal rearing
Retailers of food and beverages
Retailers of general merchandise and domestic wares
Market oriented gardeners and crop growers
Primary education teaching associate professionals
Restaurant services workers and cooks
General laborers
Stall and market salespersons
Domestic helpers e.g. house girls
Motor Vehicle Drivers
Boda boda riders (motor cycle)
Boda boda riders (bicycle)
Foods and related products processing trades workers
Street vendors and related workers e.g. food, hawkers, tel. sales
Other personal services workers e.g. hair dressers, barbers
Construction laborers
Textiles, footwear and other personal effects goods
Builders, brick layers, masons and other related workers
Building finishers and related trades workers
Subsistence fishery and related workers
Carpenters, cabinet makers, joiners, brush makers etc.
Forestry and related workers
Fashion and Other models sales persons and demonstrators
Textiles and garment trades workers (including tailors)
Machinery mechanics and fitters
Manufacturing laborers
Nurses and Midwives
Produce buyers
Secondary education teaching professionals
Protective service workers, policemen, police wardens
Dealers in agricultural and farm Products
Messengers, watchers and security workers
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
Section 5: Crop Codes
39 Cocoa
Beans
40 Paw Paw
41 Eggplants
Banana (Food)
42 Onions
Cassava
43 Passion fruit
Sweet Potatoes
44 Greens (Doodo/
G/nuts
Nakati/ Bbugga/
Sorghum
Malakwang, etc)
Millets
45 Vanilla
Sim Sim
46 Tea
Banana (Beer)
47 Wheat
Irish Potatoes
48 Barley
Soya Beans
49 Spinach
Rice
50 Cucumber
Banana (sweet)
Field Peas
51 Water melons
52 Carrots
(Kawo)
53 Garlic
Cow Peas
54 Mushrooms
Pigeon Peas
55 Tobacco
Sugar cane
56 Grapes
Yam
57 Lemons & Limes
Avocado
58 Tangarines &
Tomatoes
Mandarines
Sunflower
59 Straw berries
Cotton
60 Apples & Apricots
Jackfruit
61 Pears
Pineapples
62 Coffee Arabica
Pumpkins
63 Coffee Robusta
Mango
96 Other crops
Oranges
Cabbage
97 N/A
Maize
Occupation (P23)
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
96
97
Market-oriented crop and animal producers
Experienced non-professionals in teaching
Market oriented fishery workers, hunters, and trappers
Transport laborers
Foremen, supervisors in elementary occupation services
Travel attendants, guides, conductors,
Market-oriented animal producers
Cashier, teller, and related clerks, money lender, debt collectors
Metal molders, welders, sheet metal workers, structural and metal
prepares
Numerical clerks (Statistical, finance, book keeping and accounting)
Handicraft workers in wood, textiles, and related materials
Secretaries and Keyboard operating clerks
Post-primary education teaching associate professionals
retailers of human drugs
Traditional medicine practitioners and faith healers
Medical assistants
Laborers in mining
Pre-primary Education Teaching associate professionals
Physical science and engineering technicians
Electrical and electronic Instrument mechanics and fitters
Other street elementary occupation services e.g. shoe polisher, car
washers
Religion professionals (ordained catechist)
Computer assistants and computer equipment operators
Finance and sales associate professionals
Accountants, business administrators, and business professionals
Public and private administrative associate professionals
Client Information Clerks
Others
N/A
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+/*
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.-+=-5:
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'&+ -5"$ 5-"& "(, $&"'(
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<'-#/!#'% %<
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@-/;/-
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/@-0-+:
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101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
Central
Kalangala
Kampala
Kiboga
Luwero
Masaka
Mpigi
Mubende
Mukono
Nakasongola
Rakai
Sembabule
Kayunga
Wakiso
Lyantonde
Mityana
Nakaseke
Buikwe
Bukomasimbi
Butambala
Buvuma
Gomba
Kalungu
Kyankwanzi
Lwengo
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
DISTRICT OF PREVIOUS RESIDENCE (P12)
Eastern
Northern
Western
Bugiri
301 Adjumani
401 Bundibugyo
Busia
302 Apac
402 Bushenyi
Iganga
303 Arua
403 Hoima
Jinja
304 Gulu
404 Kabale
Kamuli
305 Kitgum
405 Kabarole
Kapchorwa
306 Kotido
406 Kasese
Katakwi
307 Lira
407 Kibaale
Kumi
308 Moroto
408 Kisoro
Mbale
309 Moyo
409 Masindi
Pallisa
310 Nebbi
410 Mbarara
Soroti
311 Nakapiripirit 411 Ntungamo
Tororo
312 Pader
412 Rukungiri
Kaberamaido 313 Yumbe
413 Kamwenge
Mayuge
314 Abim
414 Kanungu
Sironko
315 Amolatar
415 Kyenjojo
Amuria
316 Amuru
416 Buliisa
Budaka
317 Dokolo
417 Ibanda
Bududa
318 Kaabong
418 Isingiro
Bukedea
319 Koboko
419 Kiruhura
Bukwo
320 Maracha
420 Buhweju
Butaleja
321 Oyam
421 Kiryandongo
Kaliro
322 Agago
422 Kyegegwa
Manafwa
323 Alebtong
423 Mitooma
Namutumba 324 Amudat
424 Ntoroko
Bulambuli
325 Kole
425 Rubirizi
Buyende
326 Lamwo
426 Sheema
Kibuku
327 Napak
Kween
328 Nwoya
Luuka
329 Otuke
Namayingo
330 Zombo
Ngora
Serere
Country of Previous Residence
671 Kenya
672 Tanzania
673 Rwanda
674 Burundi
675 South Sudan
676 Dem. Rep. Of Congo
677 Somalia
678 Other Africa
681 United Kingdom
682 Other Europe
683 Asia
684 USA
685 Canada
686 Central & Latin America
687 Australia
688 Oceania
689 Non-Ugandan-Not Stated
Mile
0.5
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
5.5
6.0
6.5
7.0
7.5
8.0
8.5
9.0
9.5
10.0
10.5
11.0
11.5
12.0
12.5
13.0
13.5
14.0
14.5
15.0
15.5
16.0
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
H7-H13, H17
Distance Conversion
1 mile = 1.6 km
Km
Mile
0.8
16.5
1.6
17.0
2.4
17.5
3.2
18.0
4.0
18.5
4.8
19.0
5.6
19.5
6.4
20.0
7.2
20.5
8.0
21.0
8.8
21.5
9.6
22.0
10.4
22.5
11.2
23.0
12.0
23.5
12.8
24.0
13.6
24.5
14.4
25.0
15.2
25.5
16.0
26.0
16.8
26.5
17.6
27.0
18.4
27.5
19.2
28.0
20.0
28.5
20.8
29.0
21.6
29.5
22.4
30.0
23.2
30.5
24.0
31.0
24.8
31.5
25.6
32.0
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
Km
26.4
27.2
28.0
28.8
29.6
30.4
31.2
32.0
32.8
33.6
34.4
35.2
36.0
36.8
37.6
38.4
39.2
40.0
40.8
41.6
42.4
43.2
44.0
44.8
45.6
46.4
47.2
48.0
48.8
49.6
50.4
51.2
REPUBLIC OF UGANDA
NATIONAL POPULATION AND HOUSING CENSUS
COMMUNITY (LC1) QUESTIONNAIRE
IDENTIFICATION PARTICULARS
WRITE NAME IN CAPITAL LETTERS
CODE
DISTRICT
COUNTY /
MUNICIPALITY
SUB-COUNTY /
DIVISION /
T.C.
PARISH /
WARD
LC1
DD
MM
/
NAME OF INTERVIEWER
Interviewer Code
YYYY
/
Date
SIGNATURE OF INTERVIEWER
DD
MM
/
NAME OF PARISH SUPERVISOR
SIGNATURE OF PARISH SUPERVISOR
Supervisor Code
YYYY
/
Date
REPUBLIC OF UGANDA
NATIONAL POPULATION AND HOUSING CENSUS
COMMUNITY (LC1) QUESTIONNAIRE
IDENTIFICATION PARTICULARS
WRITE NAME IN CAPITAL LETTERS
CODE
DISTRICT
COUNTY /
MUNICIPALITY
SUB-COUNTY /
DIVISION /
T.C.
PARISH /
WARD
LC1
DD
MM
/
NAME OF INTERVIEWER
Interviewer Code
YYYY
/
Date
SIGNATURE OF INTERVIEWER
DD
MM
/
NAME OF PARISH SUPERVISOR
Supervisor Code
YYYY
/
Date
SIGNATURE OF PARISH SUPERVISOR
PAGE 1
COMMUNITY QUESTIONNAIRE CODE LIST
C3: Crops most affected by diseases
C1. ECONOMIC ACTIVITY
C1: Economic Activity
10 Animal rearing
11 Crop farming
12 Fishing
13 Employees
14 Trading in agricultural produce
15 Trading in non-agricultural products
96 Other (Specify)
a) Generally, what is the major economic activity in this LC1?
Refer to the codelist C1 and write the appropriate code.
b) What is the major economic activity among the youth (18 - 30 years) in this LC1?
Refer to the codelist C1 and write the appropriate code.
c) What is the major economic activity among children ( below 18 years) in this LC1?
Refer to codelist C1 and write the appropriate code.
C2. PRODUCE MARKET
a) Is there a general market located within this LC1?
1 = YES
2 = NO
b) Is there a market place for ONLY CROPS located within this LC1?
1 = YES
2 = NO
1 = YES
2 = NO
c) Is there a market place for ONLY ANIMALS/POULTRY located within this LC1?
C3.
C4: Animals most affected by diseases
10 Local Cattle
11 Exotic Cattle
12 Goats
13 Local Poultry/Chicken
14 Exotic Poultry/Chicken
15 Sheep
16 Pigs
96 Other Animals (Specify)
97 No animal affected
CROPS MOST AFFECTED BY DISEASES
a) During the past 12 months, did farmers in this LC1 experience any major diseases affecting crops?
1 = YES
2 = NO
C5b:Types of Extension Services
10 Treatment of Animal Diseases
11 Control of crop diseases
12 Vaccination
13 Artificial Insemination
14 Advice on good agricultural practices
15 Marketing
16 Use of fertilizers
17 Farm mechanization
18 Advice on credit services
19 Environmental conservation
97 Not Applicable
b) If Yes, what were the two most affected crops starting with the one which was most affected?
Refer to code list C3 and write the appropriate crop code. If No, write code 97 for crop 1 and
crop 2
Crop Code
Crop 1
Crop 2
C4. ANIMALS MOST AFFECTED BY DISEASES
a) During the past 12 months, did farmers in this LC1 experience any major diseases
affecting animals?
b) If Yes, what were the two most affected types of animals starting with the one
which was most affected?
Refer to codelist C4 and write the appropriate code. If No, write code 97 for
animal 1 and animal 2
C7a : Microfinance Institutions
10 Savings and Credit Cooperative
Organisations (SACCO)
11 Micro Finance Deposit Taking Institutions
(MDIs)
12 Credit Institutions
13 Non-Governmental Organisations (NGOs)
14 Money Lending Institutions
15 Community Based Organisations (CBOs)
96 Others (specify)
1 = YES
2 = NO
Animal Code
Animal 1
C14 : SOCIAL PROBLEMS
10 Theft
11 Poor sanitation
12 No health facility
13 No primary schools
14 No seconday schools
15 Poverty
16 Poor infrastracture (roads)
17 Unemployment
18 Lack of water
19 Famine
20 Idleness
21 Insecurity
22 Drunkenness
23 Crop pests and diseases
24 Animal pests and diseases
96 Other (Specify)
Animal 2
C5. AGRICULTURAL EXTENSION SERVICES
a) During the past 12 months, were farmers in this LC1
visited by any Agricultural Extension Worker(s)?
b) If Yes, what were the types of extension services offered?
(Refer to codelist C5b)?
1 = Yes, Government
2 = Yes, private
3 = Yes, both
Government and
Private
4 = No
Agricultural extension
service code
Service 1
Service 2
Service 3
Service 4
PAGE 2
Code
10 Maize
11 Beans
12 Banana (Food)
13 Cassava
14 Sweet Potatoes
15 G/nuts
16 Sorghum
17 Millet
18 Sim Sim
19 Banana (Beer)
20 Irish Potatoes
21 Soya Beans
22 Rice
23 Banana (sweet)
24 Field Peas (Kawo)
25 Cow Peas
26 Pigeon Peas
27 Sugar cane
28 Yams
29 Avocado
30 Tomatoes
31 Sunflower
32 Cotton
33 Jackfruit
34 Pineapples
35 Pumpkins
36 Mangoes
37 Oranges
38 Cabbage
39 Cocoa
40 Paw Paws
41 Eggplants
42 Onions
43 Passion fruits
44 Greens (Doodo/Nakati/Bbugga/Malakwang,
etc)
45 Vanilla
46 Tea
47 Wheat
48 Barley
49 Spinach
50 Cucumber
51 Water melons
52 Carrots
53 Garlic
54 Mushrooms
55 Tobacco
56 Grapes
57 Lemons & Limes
58 Tangarines & Mandarines
59 Straw berries
60 Apples & Apricots
61 Pears
62 Coffee Arabica
63 Coffee Robusta
96 Other crops (specify)
97 No crop affected
C11b : Youth Friendly Services
10 Counselling Services
11 Peer Education
12 STD/HIV/Sex Education
13 Adolescent/Youth Pregnancy
Checkups
14 Post Abortion Treatment
15 Drama
16 Indoor/Outdoor Games
95 None
96 Other (Specify)
C10a : Commonly Spoken
language in LC1
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
Acholi
Adhola
Alur
Ateso
Bari
Chope
English (non native Speakers)
Gujarati
Hindu
Ik (Tueso)
Kakwa
Kakwa-Reli
Kuku
Kumam
Kupsabiny
Langi
Lendu
Lubukusu
Luganda
Lugbara
Lusamia-Lugwe
Lugwere
Lukenyi
Lukhekhe
Luluba or Olubogo or Olu'bo
Lumasaba
Lunyala
Lunyole
Luruuli
Lusamia
Lusinga (on Rusinga Island)
Lusoga
Lutwa
Madi
Mangbetu
Mening
Mvuba
Ndo or Kebu or Oke'bu
Ngadotho
Ngakaramojong
Ngikutio
Nubi
Nyang'i
Pokot or Pakot or Suk
Rubwisi or Talinga
Rufumbira
Rugungu
Rukiga
Rukonjo
Runyankole
Runyarwanda
Runyoro
Rusongora
Rutooro
Rutundi
Ruyabindi
Rwamba
Shana
Soo or So, or Tepeth or Tepes
Swahili
Vonoma
C6. LAND
DETAILS OF THE OPINION LEADERS PROVIDING THE INFORMATION
No
NAME
TITLE
TELEPHONE CONTACT
1
a) What is the most common type of land tenure system in this LC1?
1 = Customary
2 = Freehold
3 = Mailo
4 = Leasehold
2
3
b) What is the most common size of an undeveloped piece of land available for sale in this LC1?
1 = 50 by 50 feet
2 = 50 by 100 feet
3 = 100 by 100 feet/25 decimals
4 = 20 decimals
5 = One acre
6 = Others specify..............................................................................
7 = Not Applicable/No undeveloped piece of land
4
5
6
7
8
c) What is the average cost of such a piece of land?
9
Uganda
Shillings
(Give value in Uganda shillings)
10
Code
C7. MICRO- FINANCE
a) Please name the microfinance institutions serving this LC1
(Refer to codelist C7a and write the appropriate code)
NAME OF CHAIRPERSON, LC1
SIGNATURE OF CHAIRPERSON, LC1
b) Do people in this LC1 have access to microfinance services?
1 = Yes, within the LC1
2 = Yes,outside this LC1 but within the subcounty
3 = Yes, within District
4 = No
Stamp
DD
MM
/
YYYY
C8. ROAD ACCESS AND URBANIZATION
/
a) Do you have a motorable road running through/bordering this LC1?
b) If Yes, is it all weather or seasonal? Write the appropriate code.
Date
1 =YES
2 = NO
1 = All Weather
2 = Seasonal
7 = N/A
c) What is the settlement setup of this LC1?
Write the appropriate code.
1 = Urban Gazetted (City, Municipality, Town Council, Town Board)
2 = Urban Ungazetted (none of the above)
3 = Rural
PAGE 6
PAGE 3
1 = YES; 2 = NO
C11. Facilities continued
C9. HUMAN SACRIFICE AND PERMANENT DISAPPEARANCE
(v) Government Aided Secondary School
a) During the past 12 months, were there any cases of children (below 18 years) in this
LC1 that were sacrificed? Write the appropriate code.
1 = YES
2 = NO
(vi) Private Secondary School
(vii) Church
b) If YES, how many cases were reported in the past 12 months?
c) During the past 12 months, were there any cases of sacrificing adults (18 years and
above) that were reported in this LC1?
Write the appropriate code.
1 = YES
2 = NO
(viii) Mosque
(ix) Community Centre
d) If YES, how many cases were reported in the past 12 months?
b) Which Youth Friendly Services exist in this LC1?
(Refer to codelist C11b ).
e) During the past 12 months, were there any residents in this LC1 that disappeared without any trace?
Write the appropriate code.
1 = YES
2 = NO
f) If YES, how many cases were reported in the past 12 months?
C12. HEALTH FACILITIES AND SERVICES
C10. COMMUNICATION
a) (i) What is the most commonly spoken language in this LC1?
(ii) What is the other commonly spoken language in this LC1?
Refer to codelist C10a and write the appropriate code.
If code does not exist, please specify in the space below:
1 = YES
2 = NO
a) Does any health facility exist in this LC1 ?
Most Commonly
spoken Language
NAME OF FACILTY
C12 (b)
Health
Facility
Please give me the name of the health
Number
Other Commonly
Spoken Language
b) Does this LC1 have a Community Announcer?
c) Does this LC1 have a public internet facility?
d) Does this LC1 have the following network coverages?
Write the appropriate code.
facilities that exist in this LC1
If no health facility exists within
the LC1, write N/A on the first row
in C12(b) and insert code 7 in
C12(c) and C12(d)
1 = YES
2 = NO
1 = YES
2 = NO
1 = Yes, clear
2 = Yes, not clear
3 = No
(i) MTN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(ii) WARID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
TYPE OF
FACILTY
C12 (c)
What is the
type of the
health facility?
1 = Hospital
2 = Health
Centre
3 = Clinic
7 = N/A
TYPE OF
OWNERSHIP
C12 (d)
C12 (e)
What is the ownership
status of the health
facility?
What are the services
provided by the health
facility?
1 = Government
2 = NGO
3 = Private Not For
Profit (PNFP)
4 = Private
7 = N/A
(iv) AIRTEL /ZAIN/ CELTEL. . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .
Circle all services provided
A = Emergencies
B = Admissions
C = Deliveries
D = Operations
E = Blood Transfusions
Y = Not Applicable
(i)
A
B
C
D
E
Y
(ii)
A
B
C
D
E
Y
A
B
C
D
E
Y
(iv)
A
B
C
D
E
Y
(v)
A
B
C
D
E
Y
(iii)
(iii) UTL/MANGO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SERVICES
PROVIDED
(v) ORANGE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .
C13. MOSQUITO NETS
(vi) K2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Were any mosquito nets distributed for free during the past 12 months in this LC1?
1 = Yes, Government
2 = Yes, NGO
3 = Yes, both Government and NGO
4 = NO
(vii) Any other network . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
C11. FACILITIES
a) Do the following facilities exist in your LC1? Write the appropriate code
1 = YES; 2 = NO
(i) Government Primary School
C14. SOCIAL PROBLEMS
(ii) Government Aided Primary School
What are the major social problems affecting the people of this
LC1?
('Refer to codelist C14 and rank upto 3 social problems
starting with the most pressing need).
(iii) Private Primary School
(iv) Government Secondary School
First
Second
Third
PAGE 4
PAGE 5
Republic of Uganda
National Population and Housing Census 2014
INSTITUTIONS QUESTIONNAIRE
BOOK NUMBER
IDENTIFICATION PARTICULARS
CODE
WRITE NAME IN CAPITAL LETTERS
DISTRICT
COUNTY /
MUNICIPALITY
SUB-COUNTY/
DIVISION / T. C.
PARISH / WARD
LC1
EA
CODE
NAME OF ENUMERATOR
SIGNATURE OF ENUMERATOR
DD
MM
/
DATE OF ENUMERATION
YYYY
/
CODE
NAME OF PARISH SUPERVISOR
SIGNATURE OF PARISH SUPERVISOR
DD
DATE OF SUPERVISION
MM
/
YYYY
/
UGANDA BUREAU OF STATISTICS, P.O. BOX 7186, Kampala, UGANDA.
Tel: +256-414-706000. Fax: +256-414-237553. E-mail: [email protected] Website: www.ubos.org
Institution Codelist
Type of Institution
11 Educational
12 Religious
13 Medical
15 Hostel
16 Prison
17 Barracks
18 Orphanage / Reformatory
19 Refugee Camp
20 IDP Camp
21 Homeless
22 Floating population
96 Other
Republic of Uganda
National Population and Housing Census 2014
INSTITUTIONS QUESTIONNAIRE
BOOK NUMBER
IDENTIFICATION PARTICULARS
WRITE NAME IN CAPITAL LETTERS
CODE
DISTRICT
COUNTY / MUNICIPALITY
SUB-COUNTY / DIVISION /
T.C.
PARISH / WARD
LC1
EA
ENUMERATOR'S NAME
SIGNATURE OF
ENUMERATOR
DATE (dd / mm / yyyy)
PARISH SUPERVISOR'S
NAME
SIGNATURE OF PARISH
SUPERVISOR
DATE (dd / mm / yyyy)
SUMMARY INFORMATION
Institution
Number
(1)
Institution
Type
(2)
Total Population
Male
(3)
Female
(4)
Institution
Number
Total
(5)
(1)
DA2
Institution
Type
(2)
Total Population
Male
(3)
Female
(4)
Total
(5)
Institution
Number
(1)
Institution
Type
(2)
Total Population
Male
(3)
Female
(4)
Total
(5)
Institution
Number
Institution
Type
(1)
(2)
Total Population
Male
(3)
Female
(4)
Total
(5)
DB3
Total
DB3
BOOK
NUMBER
INSTITUTION
NUMBER
INSTITUTION
TYPE
NAME OF
INSTITUTION
PARTICULARS OF INSTITUTION MEMBERS
FULL NAME
P0
Person
Number
P1
Please give the full names of all persons who spent
the Night of 27/28th August 2014 in this institution
(Exclude caretakers with independent households)
(Write First Name and Last Name only. No Initials)
SEX
SEX
P3
Is [NAME]
male or
female?
1=Male
2=Female
Example:
0 0 0
F A l T H
A L l A U
DC4
BIRTH
DATE
DATE OF
BIRTH
2
P4
What is [NAME]'s exact date of birth?
DC4
(Write the Day, Month, Year)
DD
MM
l 3
0 8
YYYY
l 9 3 8
AGE
P5
What is [NAME]'s
age in
completed
years?
If age is less
than one year
record 00;
if 95 years and
above record 95
7 6
BOOK
NUMBER
INSTITUTION
NUMBER
INSTITUTION
TYPE
NAME OF
INSTITUTION
PARTICULARS OF INSTITUTION MEMBERS
FULL NAME
P0
Person
Number
P1
Please give the full names of all persons who spent
the Night of 27/28th August 2014 in this institution
(Exclude caretakers with independent households)
(Write First Name and Last Name only. No Initials)
SEX
SEX
P3
Is [NAME]
male or
female?
1=Male
2=Female
Example:
0 0 0
F A l T H
A L l A U
DC4
BIRTH
DATE
DATE OF
BIRTH
2
P4
What is [NAME]'s exact date of birth?
DC4
(Write the Day, Month, Year)
DD
MM
l 3
0 8
YYYY
l 9 3 8
AGE
P5
What is [NAME]'s
age in
completed
years?
If age is less
than one year
record 00;
if 95 years and
above record 95
7 6